Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,951.21	Professional		$1,548.82	$1,905.46	$2,951.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $5,248.07	Facility		$2,511.89	$2,511.89	$5,248.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $4,677.35	Professional		$2,691.53	$2,691.53	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,165.95 / $6,165.95	Facility		$2,344.23	$6,165.95	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $18,620.87	Professional		$1,698.24	$1,698.24	$18,620.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $3,981.07	Facility		$1,698.24	$1,698.24	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,162.28	Professional		$1,548.82	$2,041.74	$3,162.28